Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

EVERGREEN RX INC

NPI: 1346241700 · LOS ANGELES, CA 90025 · Pharmacy · NPI assigned 08/09/2005

$701K
Total Medicaid Paid
521
Total Claims
484
Beneficiaries
5
Codes Billed
2020-04
First Month
2024-07
Last Month

Provider Details

Authorized OfficialAKOPYAN, YURY (OWNER)
NPI Enumeration Date08/09/2005

Related Entities

Other providers sharing the same authorized official: AKOPYAN, YURY

ProviderCityStateTotal Paid
COMPLETE CARE COMMUNITY HEALTH CENTER, INC SOUTH GATE CA $20.01M
COMPLETE CARE COMMUNITY HEALTH CENTER, INC MONTEREY PARK CA $58K
COMPLETE CARE COMMUNITY HEALTH CENTER, INC MONTEREY PARK CA $8K
COMPLETE CARE COMMUNITY HEALTH CENTER, INC LOS ANGELES CA $4K
COMPLETE CARE COMMUNITY HEALTH CENTER, INC PASADENA CA $0.00
COMPLETE CARE COMMUNITY HEALTH CENTER, INC SHERMAN OAKS CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 134 $278K
2021 267 $423K
2023 29 $0.00
2024 91 $33.97

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J0135 Injection, adalimumab, 20 mg 89 86 $457K
J1438 Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) 117 115 $208K
J0897 Injection, denosumab, 1 mg 164 157 $36K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 76 63 $29.12
J2405 Injection, ondansetron hydrochloride, per 1 mg 75 63 $27.95